NPI

Melissa M Bacon

This page is a copy of the public NPPES file.

Facts

Status
Active
Credential
DO
Type
Individual
Enumeration date
2006-08-25
Last updated
2017-02-22

Specialties

Licenses

License MS
24598

Location

Practice location
113 Mcrae Pt
City
Madison MS
Postal code
39110-6579
Phone
(507) 250-7030

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

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Nearby

Other NPIs in Madison, MS. 866 records in the public file.

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